burning, itching skin

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scootchski
New Member


Date Joined Aug 2011
Total Posts : 3
   Posted 8/28/2011 8:19 PM (GMT -6)   
My 17 year old daughter with her 2 week old ileostomy has burning itching skin under the barrier. Just changed her pouch and the skin around the stoma looks fine but the skin under the outer edges of the barrier is red with bumps. Used stomahesive powder and skin barrier but she still complains of terrible itching. Ostomy nurse at surgeons office said not to use any skin preps or powders. Her suggestion is to use plain water and a little paste and just stick the pouch on. What have others found to work?
Scootchski

Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 8/29/2011 7:34 AM (GMT -6)   
It kind of sounds like your skin is having a reaction to the outer adhesive portion of the wafer?  That happened to my husband but it took almost 2 months for his reaction.  We switched from the Hollister to Convatech and the same thing happened so he is now using the coloplast that does not have that paper tape outer area and is doing much better.

blueglass
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Date Joined Dec 2010
Total Posts : 3332
   Posted 8/29/2011 11:26 AM (GMT -6)   
It does sound like her skin doesn't like that wafer. A lot of people find that one wafer or another doesn't agree w/their skin (and it's not the same for everyone, sigh). You can get samples -- if you order from a big supply place (e.g. edgepark) they can send a bunch or you can call the manufacturers (UC wife named the big three) and they will send you samples. Your stoma nurse might also be able to give you some others to try.

One tip I learned from this list is to have her cut little pieces of each wafer and stick them on her stomach for a few days, away from the stoma. That way you can see which ones might be irritating, without compromising the skin around the stoma any more.

It is possible that the skin prep is the problem too, as some people react to that. You can also test that away from the stoma, there are different brands to try. I usually use a little skin prep on irritated areas away from the stoma -- too much makes the pouch not stick as well (although some brands are supposed to make it stick better). Near the stoma, I wear and eakin seal, and that helps a lot with any irritation there.

If the irritation were closer to the stoma, then it might be from the pouch not fitting right, but if it's near the edges, it's probably a reaction to the adhesive. What brand of pouch are you using?

Hope it clears up soon. This is all very overwhelming at first, but people do figure it out....
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

Post Edited (blueglass) : 8/29/2011 11:29:17 AM (GMT-6)


polishdan
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Date Joined Mar 2010
Total Posts : 1595
   Posted 8/31/2011 10:41 AM (GMT -6)   
scoot
As blueglass said you can get samples to try. The easiest way is to call the manufacturer. Convatec phone is 800 422 8811. Hollister is 888 740 8999. I wear convatec. The nurses that answer the phone know what they are talking about. I only use clear water to clean and no powders. I cover the entire wafer area with Friars Balsam Compound Benzoin Tincture. It is a first aid healing liquid. It dries sticky so the wafer sticks to it. It is a skin barrier. I order it from Canada at about $35 for a 100ml bottle. Phone number 866 470 6886. web address www.rougier.com . It's under first aid.

Dan

Christine1946
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Date Joined Aug 2008
Total Posts : 5965
   Posted 8/31/2011 2:09 PM (GMT -6)   
     I use Coloplast Sensura one piece bags.  Once in awhile I will have some irritation.  In the beginning, while her skin is becoming adapted, she will suffer with this.  This is what worked best for me....as I peel off the old appliance, I wipe with a Reliamed adhesive remover wipe.  I then use a clean cloth dampened with warm water and a bit of antibacteria soap to wash skin around stoma.  Rinse with warm water and dry skin thoroughly.  I then use stoma powder, leave on a minute or so and wipe with tissue.  Then place the appliance over stoma.
     If the skin is greatly irritated, make sure you have an ostomy nurse take a look at it.  Sometimes people develop a fungal infection.  The skin will improve over time.
     Otherwise, how is your daughter feeling?  I feel so bad for these young people who are going through this tough time.  God bless.
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